Individual provider Active NPI

Frank D Rosenberg, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1992546337
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
308720 Issued in AZ
Practice address
2055 E Southern Ave Ste a
Tempe, AZ 85282-7507
Phone
(602) 283-0080
Fax
(602) 283-0081
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN113965 AZ
Family Nurse Practitioner 363LF0000X 308720 AZ Primary

Addresses

Primary practice location

2055 E Southern Ave Ste a
Tempe, AZ 85282-7507

Mailing address

1301 E University Dr Ste 104
Tempe, AZ 85288-8423
Phone (602) 283-0080

Other practice location 1

1600 W University Ave Ste 112
Flagstaff, AZ 86001-3154
Phone (602) 283-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711004490 AZ Practitioner - Nurse Practitioner 5799220901 Reassigns benefits to 1 organization
Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tempe Primary Care LLCGroup PAC ID 1254862626, 3 clinicians

Practice addresses (Care Compare)

1301 E University Dr
Suite 104
Tempe, AZ 85288-8423
Phone (602) 283-0080

2055 E Southern Ave
Suite a
Tempe, AZ 85282-7507
Phone (602) 283-0080

8314 S Jentilly LN
Tempe, AZ 85284-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN113965AZMDRegistered Nurse
308720AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tempe Primary Care LLC Single Specialty CurrentSince May 3, 2024 Accepting new patients
Vascular Surgical Associates Single Specialty PastSince Jul 28, 2024 Accepting new patients

Locations

5650 W Chandler Blvd
Ste 2
Chandler, AZ 85226
Phone (248) 986-5798

2055 E Southern Ave
Ste A
Tempe, AZ 85282
Phone (480) 440-2052

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1992546337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E UNIVERSITY DR STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852888423",
            "telephone_number": "602-283-0080",
            "fax_number": "602-283-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTHERN AVE STE A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827507",
            "telephone_number": "602-283-0080",
            "fax_number": "602-283-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W University Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013154",
            "country_code": "US",
            "telephone_number": "602-283-0080",
            "fax_number": "602-283-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "FRANK",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN113965",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "308720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.